Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Live Well Psychotherapy LCSW PLLC

Organization Clinical Social Worker · NPI 1245995372

Live Well Psychotherapy LCSW PLLC provides Clinical Social Worker services in Farmingdale, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Broadhollow Rd Ste 108
Farmingdale, NY 11735-4813
Phone: (631) 769-7763
Fax: (631) 769-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1245995372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Ceballos — Owner/Psychotherapist · (631) 769-7763
NPI enumeratedNovember 3, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address26 Wilson Ave, Deer Park, NY 11729-6714

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